Tuesday, October 27, 2020, at 6:00 P.M., in the Cypress Room, First Floor, University Hospital, 4502 Medical Drive, San Antonio, Texas 78229

A University 4502 Medical Drive V Health System San Antonio, Texas 78229

October 23, 2020

NOTICE

This notice is posted pursuant to the Texas Open Meetings Act, TEX Gov'TCODE, Sec. 551.001 et seq. (Vernon 2004).

RE: Meeting ofthe Bexar County Hospital District Board ofManagers

There will be a meeting of the BCHD Board of Managers on Tuesday, October 27, 2020, at 6:00 p.m., in the Cypress Room, First Floor, University Hospital, 4502 Medical Drive, San Antonio, Texas 78229.

George B. Hernandez, Jr. President/Chief Executive Officer 0 University Health System

BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS

Tuesday, October 27, 2020 6:00 p.m. Cypress Room, University Hospital 4502 Medical Drive San Antonio, Texas 78229

AGENDA

Time

1. Call to Order and Record ofAttendance - Jim Adams, Chair :01

2. Invocation - N orbe1t Casas, Our Lady of Guadalupe Catholic Church of Helotes :03 - Jim Adams, Chair

3. Pledge of Allegiance - Jim Adams, Chair :01

4. Public Comment: :05

5. Special Recognition :20 Quarterly Employee Recognition Awards (George B. Hernandez, Jr./Board Members)

6. Approval of Minutes of Previous Meeting(s): September 29, 2020 (Regular Meeting) :03

7. Report from UT Health San Antonio - William Henrich, MD., President :10

8. New Business: :15

Consent Agenda - Jim Adams, Chair

A. Consideration and Appropriate Action Regarding Medical-Dental Staff Membership and Privileges - Rqjeev Suri, MD., President, Medical/Dental Staff

B. Consideration and Appropriate Action Regarding Medical-Dental Staff Recommendations for Professional Practice Evaluations and Delineation of Privileges - Rajeev Suri, MD., President, Medical/Dental Staff Meeting ofthe Bexar County Hospital District Board ofManagers October 27, 2020 Page 2 of3

C. Consideration and Appropriate Action Regarding Consideration and Appropriate Action Regarding Medical-Dental Staff Recommendations of Officer Positions - Rajeev Suri, MD., President, Medical/Dental Staff

D. Consideration and Appropriate Action Regarding the 3rd Quarter 2020 Investment Report - Roe Garrett/Reed Hurley

E. Consideration and Appropriate Action Regarding Purchasing Activities (See Attachment A) - Antonio Carrillo/Travis Smith

9. Items for Review and Discussion: :20

Review and Discussion Regarding Community First Health Plans, Inc.'s Preliminary Operating and Capital Budgets for Fiscal Year 2021 - Theresa Scepanski/Daverick Isaac

10. Action Items: :30

A. Consideration and Appropriate Action Regarding Selected Purchasing Items:

(1) Consideration and Appropriate Action Regarding a Master Health Care Services Agreement with UT Health San Antonio - Ed Banos

(2) Consideration and Appropriate Action Regarding a Renewal of the Local Match Memorandum of Understanding with The Center for Health Care Services (CHCS) for State FY 2021 - Sally Taylor, MD.

(3) Consideration and Appropriate Action Regarding a Renewal of the Local Match Memorandum of Understanding with the Alamo Area Council of Governments (AACOG) for State FY 2021 -Sally Taylor, MD.

(4) Consideration and Appropriate Action Regarding a Guaranteed Maximum Price (GMP #11) Proposal for the Women's and Children's Hospital Roofing, Masonry, and General Works for the Construction Manager at Risk Agreement with Joeris/Dun Joint Venture -Don Ryden

(5) Consideration and Appropriate Action Regarding an Amendment to the Professional Services Agreement with Marmon Mok, LLP for Architectural and Related Services for the Women's and Children's Hospital and Associated Projects -Don Ryden

(6) Consideration and Appropriate Action Regarding an Authorization to Order Permanent Electrical Design through CPS Energy for the Women's and Children's Hospital and Associated Project&- Don Ryden

(7) Consideration and Appropriate Action Regarding a Contract with CGC General Contractors, Inc. to Provide Construction Services for the South Parking Garage Renovations Project at University Hospital - Don Ryden Meeting ofthe Bexar County Hospital District Board ofManagers October 27, 2020 Page 3 of3

(8) Consideration and Appropriate Action Regarding a Contract with Barrio Comprehensive Family Health Care Center, Inc. d/b/a CommuniCare Health Centers for CareLink Services-Virginia Mika, PhD/Roberto Villarreal, MD

B. Consideration and Appropriate Action Regarding the Financial Report for September 2020 - Reed Hurley

11. Presentations and Education: :20

None at this time

12. Information Only Items: (a) University Health System Foundation Report- Leni Kirkman (b) Report on Recent Recognitions and Upcoming Events - Leni Kirkman (c) Update on the Women's and Children's Hospital and Associated Projects-Don Ryden

13. Adjournment-Jim Adams, Chair

The Board of Managers may recess during the open meeting in order to hold a closed meeting. Alternatively, a closed meeting may be held before the open meeting or after its adjournment.

Closed Meeting: A closed meeting will be held pursuant to TEX. GOV'T CODE, Section 551.085 to receive information regarding pricing, market data and/or financial and planning information relating to the arrangement or provision ofproposed new services and/or product lines.

Closed Meeting: A closed meeting will be held pursuant to TEX. GOV'T CODE, Section 551.085 to receive information regarding pricing or financial planning information relating to a bid or negotiation for the arrangement or provision of services or product lines to another person if disclosure ofthe information would give advantage to competitors ofthe hospital district.

Closed Meeting: A closed meeting will be held pursuant to TEX. GOV'T CODE, Section 551.072 to receive information to deliberate the purchase, exchange, lease, or value of real property. I ATTACHMENT A SUMMARY OF PURCHASING ACTIVITY I A total of20 contracts with a value of $339,015,049 are being presented to the Board ofManagers during the October 2020 meeting. The following contracts require approval by the BCHD Board ofManagers 12 Consent Contracts with a total value of$8,195,107 8 Presented Contracts with a total value of$330,819,942 During the month ofOctober 2020 there were 6 contracts classified as a Small, Minority, Woman, or Veteran Owned Business Ente1·prises (SMWVBE). October 2020 SMWVBE Status Repo1t (reflects items being submitted for Board approval)

Available Opportunity SMWVBE %SMWVBE Local %Local SMWVBE Breakout Proposed A ward

Small $ 3,513,460.00 100.0% Hispanic $ - 0.0% African American $ - 0.0% $179,463,619 $3,513,460 2.0% $174,766,420 97.4% Asian $ - 0.0% Other/Minority $ - 0.0% Woman $ - 0.0% Veteran $ - 0.0%

Non-Opportunity Local %Local Non Profit Non Profit% Awarded

$159,551,430 $ 156,469,783 98.1 % $ 154,460,466 45.6% Board Approved YTD SMWVBE Status Report as ofthe October 2020 Board ofManagers Meeting.

Available Opportunity SMWVBE %SMWVBE Local %Local SMWVBE Breakout Awarded

Small 8,457,979.00 33.9% Hispanic 5,314,626.00 21.3% African American - 0.0% $359,547,091 $24,923,125 6.9% $245,274,246 68.2% Asian 2,193,800.00 8.8% Other Minority - 0.0% Woman 6,436,720.00 25.8% Veteran 2,520,000.00 10.1%

Non-Opportunity Local %Local Non Profit Non Profit% Awarded (Non - CIP)

$89,468,271 $51,385,232 57.4% $31,559,940 7.0%

RECOMMEND APPROV ~ TravfsSmith ReedHur y Deputy ChiefFinancial Officer Executive ice President Chief Financial Officer

RECO~ APPROVAL::

~ode~ President/Chief Executive Officer 1 0 University Health System

BCHD BOARD OF MANAGERS Tuesday, October 27, 2020 CONSIDERATION OF PURCHASING ACTMTIES

THE FOLLOWING CONTRACTS ARE PRESENTED FOR APPROVAL BY THE BOARD OF MANAGERS AS CONSENT ITEMS:

TOTAL AWARD BASIS P.O./CONTRACT# PAGE COMPANY CATEGORY AWARD ACADEMY CONTRACT FOR ASSOCIATION, SERVICE AGREEMENT- INCORPORATED 21709145F* Mod 5 MEDICAL CODING $844,400 RFP-217-05-031-SVC D/B/AAUDIT AUDITS AND #4 SERVICES GROUP, EDUCATIONAL LLC BIOPOOL US CONTRACT FOR COST INCORPORATED, 21711188-EMod D/B/A TRINITY PER TEST AGREEMENT- $100,000 RFP-217-04-016-LAB 6 #2 BIOTECH HGBAlC INSTRUMENT DISTRIBUTION

CONTRACT FOR CAREDX REAGENT RENTAL Exempt, Sole Source 7 SOLUTIONS, AGREEMENT- ILLUMINA ll009l 3l-IE $793,440 INCORPORATED ISEQ SYSTEMS

CONTRACT FOR CONDUENT CARE SOFTWARE SERVICE 4 8 MANAGEMENT, AGREEMENT- PATIENT llOOSl0 -IE $273,442 Exempt INCORPORATED LEVEL CONTEXT Mod #l MANAGEMENT

CONTRACT FOR ENGAGENCY LLC SERVICEAGREEMENT- 21706101-IE $200,000 RFP-216-08-037-SVC 9 ' CONTENT Mod #3 MANAGEMENT SYSTEM

CONTRACT FOR FISHER REAGENT, SUPPLY & 21710181-E Mod SCIENTIFIC $250,661 Exempt 10 TESTING AGREEMENT- #1 COMPANY, LLC BACTEC INSTRUMENT CONTRACT FOR FORTEC 21712192-G Mod MEDICAL, SERVICE AGREEMENT - $1,359,359 Exempt,GPO 11 #3 INCORPORATED SURGICAL LASER

2 TOTAL AWARD BASIS CATEGORY P,O./CONTRACT# PAGE COMPANY AWARD HEARST NEWSPAPERS LLC CONTRACT FOR 12 D/B/ASAN ADVERTISING- STAFF 22010252-IE $1,392,000 Exempt ANTONIO RECRUITMENT EXPRESS NEWS PHILIPS HEALTHCARE A CONTRACT FOR 13 DIVISION OF CAPITAL EQUIPMENT- TBD $297,649 Exempt PHILIPS NORTH ULTRASOUND SYSTEM AMERICA, LLC CONTRACT FOR SERVICE AGREEMENT - 21505083-IF 14 PROSCRIBE, LLC $216,261 RFP-215-03-005-SVC MEDICAL SCRIBE Mod#6 SERVICES

TRANSLOGIC CONTRACT FOR CORPORATION SERVICE AGREEMENT- 15 22009228-IE $1,067,895 Exempt DBA SWISSLOG PNEUMATIC TUBE HEALTHCARE SYSTEM MAINTENANCE

UNITED CONTRACT FOR LANGUAGE SERVICE AGREEMENT- 16 22010251-IG $1,400,000 Exempt, GPO GROUP, LANGUAGE INCORPORATED INTERPRETER GRAND TOTAL FOR BOARD APPROVAL $8,195,107